Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
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2783-4093
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jalali
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2023
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ارتباط بین سلامت معنوی و امید با تبعیت از رژیم دارویی در سالمندان مبتلا به دیابت نوع دو
The Relationship between Spiritual Health and Hope by Adherence to the Medication Regimen in the Elderly with Type 2 Diabetes
روانشناسی سلامت
health Psychology
پژوهشي
Research
<div style="text-align: justify;"><span style="font-size:14px;"><span style="color:#000000;"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span calibri="" class="Heading2Char" light="" style="font-family:"><b><span lang="FA"><span style="line-height:115%"><span b="" style="font-family:" zar="">مقدمه:</span></span></span></b></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> با توجه به افزایش روزافزون جمعیت سالمندان و بیماری</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""></span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">های مزمن از جمله دیابت، پژوهش حاضر به</span></span> <span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">منظور بررسی ارتباط سلامت معنوی و امید با تبعیت از رژیم دارویی در سالمندان مبتلا به دیابت نوع دو انجام گرفت.</span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span calibri="" class="Heading2Char" light="" style="font-family:"><b><span lang="FA"><span style="line-height:115%"><span b="" style="font-family:" zar="">روشها</span></span></span></b></span><span calibri="" class="Heading2Char" light="" style="font-family:"><b><span lang="FA"><span style="line-height:115%"><span b="" style="font-family:" zar="">:</span></span></span></b></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> این مطالعه از نوع توصیفی- تحلیلی بود که در کلینیک دیابت بیمارستان 22 بهمن گناباد انجام شد. اطلاعات مورد نیاز با استفاده از فرم اطلاعات دموگرافیک، پرسشنامههای </span></span><span dir="LTR"><span style="line-height:115%">Herth Hope Index</span></span><span style="line-height:115%"><span b="" style="font-family:" zar=""> (</span></span><span dir="LTR"><span style="line-height:115%">HII</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">)، سلامت معنوی </span></span><span dir="LTR"><span style="line-height:115%">Paloutzian</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> و </span></span><span dir="LTR"><span style="line-height:115%">Ellison</span></span><span style="line-height:115%"><span b="" style="font-family:" zar=""> و تبعیت از رژیم</span></span> <span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">دارویی </span></span><span dir="LTR"><span style="line-height:115%">Morisky</span></span><span style="line-height:115%"><span b="" style="font-family:" zar=""> (</span></span><span dir="LTR"><span style="line-height:115%">Morisky Medication Adherence Scale</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> یا </span></span><span dir="LTR"><span style="line-height:115%">MMAS</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">) به روش مصاحبه جمعآوری گردید. در نهایت، دادهها با استفاده از آزمونهای </span></span><span dir="LTR"><span style="line-height:115%">Independent t</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">، </span></span><span dir="LTR"><span style="line-height:115%">ANOVA</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> و ضریب </span></span><span dir="LTR"><span style="line-height:115%">Spearman</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> در نرمافزار </span></span><span dir="LTR"><span style="line-height:115%">SPSS</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span calibri="" class="Heading2Char" light="" style="font-family:"><b><span lang="FA"><span style="line-height:115%"><span b="" style="font-family:" zar="">یافتهها:</span></span></span></b></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> بیشتر شرکتکنندگان از سلامت معنوی بالا، امید زیاد و پایبندی کم به رژیم دارویی برخوردار بودند. علاوه بر این، بهزیستی معنوی به طور مستقیمی با پایبندی به درمان ارتباط داشت (05/0 > </span></span><span dir="LTR"><span style="line-height:115%">P</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">)، اما بین امید با تبعیت از رژیم درمانی ارتباطی مشاهده نشد (05/0 < </span></span><span dir="LTR"><span style="line-height:115%">P</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">).</span></span><span dir="LTR"><span style="line-height:115%"></span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span calibri="" class="Heading2Char" light="" style="font-family:"><b><span lang="FA"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتیجهگیری:</span></span></span></b></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""> امید بالا در یک سالمند نمی</span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar=""></span></span><span lang="FA" style="line-height:115%"><span b="" style="font-family:" zar="">تواند دلیلی بر تبعیت مطلوب از رژیم دارویی باشد، بلکه برای تبعیت دارویی مناسب، لازم است سالمند اطلاعات درست و کافی از برنامه دارویی و درمانی خود داشته باشد.</span></span></span></span></span></span></span></span></div>
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<div style="text-align: justify;"><div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div><span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Background: </span></span></span></b><span class="notranslate" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="line-height:115%">Due to the increasing number of elderly people in Iran, as well as chronic diseases, such as diabetes, in the elderly, this study was conducted to investigate the relationship between spiritual health and hope with adherence to the medication regimens in the elderly with type 2 diabetes.</span></span></span><span class="notranslate" new="" roman="" style="font-family:" times=""><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span class="notranslate" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="line-height:115%"> This descriptive-analytical study was conducted in the diabetes clinic of 22 Bahman Hospital in Gonabad, Iran.</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> <span class="notranslate" new="" roman="" style="font-family:" times="">The data were collected using the demographic information form, Herth Hope Index (HHI), Paloutzian and Ellison Spiritual Well Being Scale, and Morisky Medication Adherence Scale (MMAS) by interview method. Data were analyzed using independent t-test, analysis of variance (ANOVA), and Spearman coefficient in SPSS software. </span></span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Zar""></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><span class="notranslate" new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%">Findings:</span></span></b></span><span class="notranslate" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="line-height:115%"> Most of the participants had high spiritual health, high hope, and low adherence to medication regimen. In addition, spiritual health was directly related to treatment adherence </span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">(P < 0.05)<span class="notranslate" new="" roman="" style="font-family:" times="">; however, no relationship was found between hope and treatment adherence </span>(P > 0.05).</span></span></span><span class="notranslate" new="" roman="" style="font-family:" times=""><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span><br>
<b><span style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">High hope in an elderly person cannot be a reason for good adherence to medication regimen, but for appropriate medication adherence, it is necessary for the elderly to have correct and sufficient information about their medication and treatment plan.</span></span></span></div>
درمانهای معنوی, امید, تبعیت از رژیم دارویی, سالمندان, دیابت نوع دو
Spiritual therapies, Hope, Medication adherence, Elderly, Type 2 diabetes mellitus
95
102
http://hsr.mui.ac.ir/browse.php?a_code=A-10-330-1&slc_lang=fa&sid=1
Habib
Shareinia
حبیب
شارعینیا
habibshareinia@gmail.com